A nurse is leading a grief support group for bereaved clients.
Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

"I don't feel anything but numbness anymore.”.

"It'll be a long time before I'm happy again.”.

"I feel like I'm angry at the whole world right now.”.

"I don't know how I could cope if I didn't have my family's support.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The statement "I don't feel anything but numbness anymore" is indicative of anhedonia, which is a core symptom of clinical depression. Anhedonia is the inability to experience pleasure or interest in previously enjoyed activities. Reporting this statement to the provider is important as it suggests a significant emotional disturbance.

Choice B rationale:

While the statement "It'll be a long time before I'm happy again" does indicate a sense of hopelessness or prolonged sadness, it is not as specific to clinical depression as the presence of anhedonia. Clinical depression involves a range of symptoms, and the absence of pleasure or emotions (anhedonia) is a more concerning sign.

Choice C rationale:

Feeling angry at the world is a common emotional response to grief and loss and is not a direct indication of clinical depression. It is important to consider the context of grief when assessing client statements.

Choice D rationale:

Expressing reliance on family support is a healthy coping mechanism in response to grief and loss. It does not necessarily indicate clinical depression but rather a natural response to seeking support during a difficult time.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale:

Monitoring signs of psychomotor agitation is an important aspect of assessing a patient with bipolar disorder. Psychomotor agitation is a common feature of bipolar disorder, and recognizing its signs can help in managing the patient's condition effectively.

Choice B rationale:

Assessing the patient's memory and attention is crucial in the assessment of bipolar disorder. It helps in evaluating cognitive function, which can be affected during manic or depressive episodes in bipolar disorder.

Choice C rationale:

Documenting the patient's medication history is essential when assessing a patient with bipolar disorder. Knowing the medications the patient is currently taking, as well as their medication history, is vital for understanding their treatment plan and ensuring the safe and effective management of the condition.

Choice D rationale:

Measuring vital signs and laboratory tests is an integral part of the physical assessment for a patient with bipolar disorder. Bipolar disorder can have physical health implications, and monitoring vital signs and conducting laboratory tests can help identify any underlying medical issues or side effects of medication.

Choice E rationale:

Observing signs of impaired judgment is another important aspect of assessing a patient with bipolar disorder. Impaired judgment can be a characteristic feature during manic episodes, and recognizing it is crucial for the safety and well-being of the patient.

A. Plan a menu with the client. B. Weigh the client every other day. C. Remain with the client for 1 hr after meals. D. Offer snacks when the client is hungry.

Correct Answer is C

Explanation

Choice A rationale:

Planning a menu with the client is a good practice for individuals with eating disorders. However, remaining with the client after meals is crucial to address the immediate concerns related to a binge eating disorder. Binge eating disorder is characterized by consuming large amounts of food in a short period, and the nurse needs to monitor the client for potential complications or behaviors after meals.

Choice B rationale:

Weighing the client every other day is not the most appropriate action for a client with a binge eating disorder. While weight monitoring can be important, it does not directly address the behavioral aspects of the disorder, such as episodes of overeating. It is more critical to provide support and monitoring immediately after meals to prevent or address binge episodes.

Choice D rationale:

Offering snacks when the client is hungry is a generally healthy practice. However, in the context of binge eating disorder, the focus should be on structured meal times and monitoring for potential episodes of overeating. Offering snacks whenever the client is hungry may not be the best approach for managing this specific eating disorder. .

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A nurse is leading a grief support group for bereaved clients.Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with bipolar disorder.Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply:.

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is caring for a client who has a binge eating disorder.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is creating a plan of care for a client who has major depressive disorder.Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation.Which of the following assessment findings in the client's history should the nurse report to the provider?

A nurse is caring for a client who receives lamotrigine daily for bipolar disorder and reports a rash on his arm. Which of the following actions should the nurse take?

A nurse is assessing a client who has delirium.Which of the following findings requires immediate intervention by the nurse?

A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation.The nurse should encourage the client to participate in which of the following groups?

A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, "I feel unmotivated and don't feel like leaving my home.”. Which of the following recommendations should the nurse make to address the client's social isolation?

A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate.Which of the following findings places the client at risk for lithium toxicity?

A nurse is leading a grief support group for bereaved clients.
Which of the following client statements should the nurse report to the provider as an indication of clinical depression?